| Doctor Name: | DR. NANCY ROSENBLUM |
| NPI Number: | 1326396052 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | G84886 |
| Business Practice Address: | 1237 Lords Way Tahoe Vista, CA - 961480334 |
| Business Phone Number: | 5305467415 |
| Business Fax Number: | |
| Mailing Address: | Po Box 334, TAHOE VISTA |
| State: | CA |
| Postal Code: | 961480334 |
| Phone Number: | 5305467415 |
| Fax Number: | |
| NPI Enumeration Date: | 08/28/2012 |
| NPI Last Update Date: | 08/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080P0204X |
| License Number: | G84886 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Pediatric Emergency Medicine |
| Taxonomy Definition: | A pediatrician who has special qualifications to manage emergencies in infants and children. |